Which of the following is NOT a manifestation of chorioamnionitis?

• A. Purulent discharge
• B. Fetal tachycardia
• C. Leukocytosis greater than 15,000
• D. Transient tachypnea of the newborn

Answer: (D)

Chorioamnionitis is an intrauterine infection that triggers maternal and fetal inflammatory responses. You’d expect signs like purulent discharge indicating infection, fetal tachycardia as a fetal response to fever, and maternal leukocytosis (often elevated). Transient tachypnea of the newborn, in contrast, is a postnatal respiratory issue caused by delayed clearance of fetal lung fluid and does not reflect intrauterine infection. It presents after birth with rapid breathing but isn’t a sign of chorioamnionitis. So this option is not a manifestation of chorioamnionitis.